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HIGHMARK HEALTH: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HIGHMARK HEALTH (EIN 25-1340370)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-02-10
IRS object ID
201600419349301735
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-02-10T15:08:27-07:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251340370EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GROVE CITY MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGROVBusinessNameControlTxt
Phone7244585442PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1631 N BROAD STREET EXTAddressLine1Txt
CityGROVE CITYCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16127ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID A POLANDPersonNm
Person TitleVP OF FINANCE AND CFOPersonTitleTxt
Phone7244507198PhoneNum
Signature2016-02-10SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRobert C Jackson JrPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1631 N Broad Street ExtAddressLine1Txt
CityGrove CityCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16127ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$49,554,186GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.gcmcpa.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionOur mission as a community hospital is to provide caring, compassionate and quality health services to you, our client. Based on a relationship of mutual trust, we commit ourselves to respond to the needs of all we serve and strive for continual improvement in the care we provide.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee550TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$30,630PYContributionsGrantsAmt
CY Contributions Grants$21,193CYContributionsGrantsAmt
PY Program Service Revenue$45,030,064PYProgramServiceRevenueAmt
CY Program Service Revenue$45,283,178CYProgramServiceRevenueAmt
PY Investment Income$2,353,026PYInvestmentIncomeAmt
CY Investment Income$3,648,136CYInvestmentIncomeAmt
PY Other Revenue$253,258PYOtherRevenueAmt
CY Other Revenue$289,790CYOtherRevenueAmt
PY Total Revenue$47,666,978PYTotalRevenueAmt
CY Total Revenue$49,242,297CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,715,280PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,732,006CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$25,106,793PYOtherExpensesAmt
CY Other Expenses$24,533,466CYOtherExpensesAmt
PY Total Expenses$46,822,073PYTotalExpensesAmt
CY Total Expenses$46,265,472CYTotalExpensesAmt
PY Revenues Less Expenses$844,905PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,976,825CYRevenuesLessExpensesAmt
Total Assets BOY$51,768,752TotalAssetsBOYAmt
Total Assets EOY$52,488,189TotalAssetsEOYAmt
Total Liabilities BOY$5,487,586TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,174,408TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$46,281,166NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$47,313,781NetAssetsOrFundBalancesEOYAmt
MissionOur mission as a community hospital is to provide caring, compassionate and quality health services to you, our client. Based on a relationship of mutual trust, we commit ourselves to respond to the needs of all we serve and strive for continual improvement in the care we provide.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,882,017ExpenseAmt
Grant$0GrantAmt
Revenue$8,525,751RevenueAmt
DescHealth Services are provided to the residents of Grove City, PA, and surrounding communities. The organization maintains a full service acute care hospital facility and hires or contracts for health care professionals and administrative personnel. In addition to fee for service activities, the hospital provides services to individuals at no charge through free clinics, free screenings, and education. Care is provided to patients who meet certain criteria under the Medicaid program and the hospital's financial assistance policy without charge or at amounts less than established rates. Free care for the current year at the hospital's established rates approximated $419,422. Inpatient acute care services: A total of 1,528 admissions with a total of 6,324 patient days and 813 Observation patient hours.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$28,412,803ExpenseAmt
Grant$0GrantAmt
Revenue$35,025,285RevenueAmt
DescOutpatient services: Ancillary testing, emergency care, and clinic care were provided during 97,670 separate visits during the fiscal year. Services include, but are not limited to: Laboratory, Radiology, Ambulatory Surgery, Chemotherapy, and Physical Therapy.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,989,107ExpenseAmt
Grant$0GrantAmt
Revenue$2,151,560RevenueAmt
DescSkilled Nursing Services: Long-Term, Skilled Nursing Health Care Services were provided to 404 patients for a total of 5,058 days. The average length of stay is 12.6 days per patient.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$38,283,927TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document55IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee550EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID A POLANDPersonNm
Phone7244585442PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1631 N BROAD ST EXTAddressLine1Txt
CityGROVE CITYCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16127ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LEE ANDERSON
DIRECTOR10Yes (X)$0$0$0
ROGER TOWLE
TREASURER10Yes (X)$0$0$0Yes (X)
TIMOTHY R BONNER
CHAIRMAN10Yes (X)$0$0$0Yes (X)
RUTH LEO
DIRECTOR10Yes (X)$0$0$0
ROBERT A JANCART
PATHOLOGIST400Yes (X)$208,723$0$21,381
ERNEST D MAY
VICE CHAIRMAN10Yes (X)$0$0$0Yes (X)
ROBERT LANDFRIED
DIRECTOR10Yes (X)$0$0$0
BRADLEY A SMITH
SECRETARY10Yes (X)$0$0$0Yes (X)
JOSEPH HINES
DIRECTOR10Yes (X)$0$0$0
HEATHER MOURTACOS
PROXY FOR DR FERGUSON10Yes (X)$0$0$0
ROBERT C JACKSON JR
CEO502$211,125$0$4,734Yes (X)
DAVID A POLAND
VP OF FINANCE502$136,456$0$19,788Yes (X)
JOAN S MYER
PHARMACIST400$108,133$0$14,200Yes (X)
RONALD F HOWARD II
PHARMACIST400$104,496$0$22,159Yes (X)
SUSAN HILDEBRAN
PHARMACIST400$104,099$0$14,872Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$873,032TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$97,134TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GC ANESTHESIA & PAIN MANAGEMENT
PO BOX 33058PALM BEACH GARDENSFL33420ANESTHESIOLOGISTS$1,725,000
STATCARE PHYSICIAN SERVICES
511 OAKLAND AVEGROVE CITYPA16127EMERGENCY PHYSICIAN SERVICES$1,392,062
ASSOCIATED CLINICAL LABS
15832 COLLECTIONS CENTER DRCHICAGOIL60693OUTSIDE LAB SERVICES$430,062
COMPREHENSIVE PHARMACY SERVICES
PO BOX 638316CINCINNATIOH452638316PHARMACY MANAGEMENT SERVICES$228,468
CREDIT MANAGEMENT SERVICE
2121 NOBLESTOWN ROADPITTSBURGHPA152053956COLLECTION SERVICES$223,427
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$21,193GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$21,193TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Health ServicesDesc
Business900099BusinessCd
Total Revenue Column$45,283,178TotalRevenueColumnAmt
Related Or Exempt Func Income$45,283,178RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$45,283,178TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,501,729TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,501,729ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$434,072RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$311,889RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$122,183RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,183TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$122,183ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,130,017SecuritiesAmt
Other$16,390OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,130,017SecuritiesAmt
Other$16,390OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,146,407TotalRevenueColumnAmt
Related Or Exempt Func Income$1,146,407RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPharmacy RevenueDesc
Business900099BusinessCd
Total Revenue Column$6,314TotalRevenueColumnAmt
Related Or Exempt Func Income$6,314RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$161,293TotalRevenueColumnAmt
Related Or Exempt Func Income$161,293RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$167,607OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,242,297TotalRevenueColumnAmt
Related Or Exempt Func Income$46,597,192RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,623,912ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,788,034TotalAmt
Program Services$13,404,026ProgramServicesAmt
Management And General$3,384,008ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$258,248TotalAmt
Program Services$258,248ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,463,541TotalAmt
Program Services$3,463,541ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,222,183TotalAmt
Program Services$982,349ProgramServicesAmt
Management And General$239,834ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,064TotalAmt
Program Services$0ProgramServicesAmt
Management And General$14,064ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$71,800TotalAmt
Program Services$0ProgramServicesAmt
Management And General$71,800ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,532,528TotalAmt
Program Services$5,117,317ProgramServicesAmt
Management And General$2,415,211ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$110,138TotalAmt
Program Services$0ProgramServicesAmt
Management And General$110,138ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$716,464TotalAmt
Program Services$481,098ProgramServicesAmt
Management And General$235,366ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$661,558TotalAmt
Program Services$659,912ProgramServicesAmt
Management And General$1,646ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$39,343TotalAmt
Program Services$29,349ProgramServicesAmt
Management And General$9,994ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$28,449TotalAmt
Program Services$28,449ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,437,901TotalAmt
Program Services$1,437,901ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$872,319TotalAmt
Program Services$0ProgramServicesAmt
Management And General$872,319ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$7,968,919$7,940,126$28,793$0
Equipment Rental and Maintenance$1,821,211$1,273,615$547,596$0
Telephone$61,219$61,219$0$0
Bad Debt$3,079,468$3,079,468$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$118,085TotalAmt
Program Services$67,309ProgramServicesAmt
Management And General$50,776ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$46,265,472TotalAmt
Program Services$38,283,927ProgramServicesAmt
Management And General$7,981,545ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$178,697BOYAmt
EOY$237,568EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,048,041BOYAmt
EOY$464,004EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,028,813BOYAmt
EOY$5,292,442EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$319,945BOYAmt
EOY$2,272,711EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,291,436BOYAmt
EOY$1,306,928EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$443,873BOYAmt
EOY$523,354EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$58,771,175LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$50,037,740LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,816,669BOYAmt
EOY$8,733,435EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$31,716,620BOYAmt
EOY$31,270,663EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,924,658BOYAmt
EOY$2,387,084EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$51,768,752BOYAmt
EOY$52,488,189EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,199,405BOYAmt
EOY$4,106,416EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$18,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,288,181BOYAmt
EOY$1,049,992EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,487,586BOYAmt
EOY$5,174,408EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$46,281,166BOYAmt
EOY$47,313,781EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,281,166BOYAmt
EOY$47,313,781EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,768,752BOYAmt
EOY$52,488,189EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,976,825ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$1,944,210OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,105OtherActivitiesAmt
Total Lobbying Expenditures$5,105TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
ExplanationA portion of dues paid to Hospital Council of Western Pennsylvania and Hospital Association of Pennsylvania.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$211,326OtherCostOrOtherBasisAmt
Book Value$211,326BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$14,207,224OtherCostOrOtherBasisAmt
Depreciation$10,497,897DepreciationAmt
Book Value$3,709,327BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,620,465OtherCostOrOtherBasisAmt
Depreciation$2,378,428DepreciationAmt
Book Value$242,037BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$41,732,160OtherCostOrOtherBasisAmt
Depreciation$37,161,415DepreciationAmt
Book Value$4,570,745BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,733,435TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LT Lease Obligation$284,403
Estimated Insurance Liabilities$765,589
FieldValueIRS element (for citing)
Total Liability$1,049,992TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$42,846,773TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue-$2,767,595OtherRevenueAmt
Revenue Not Reported-$2,767,595RevenueNotReportedAmt
Revenue Subtotal$45,614,368RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$3,627,929OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,627,929RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$49,242,297TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$43,497,877TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included-$2,767,595OtherExpensesIncludedAmt
Expenses Not Reported-$2,767,595ExpensesNotReportedAmt
Expenses Subtotal$46,265,472ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$46,265,472TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part XI, Line 2dRental expenses of $311,889 are netted against rental income of $434,072 on Form 990, Part VIII. The Bad Debt of ($3,079,468) was reclassed from a reduction in revenue to an expense to remain consistent with Schedule H.
Schedule D, Part XI, Line 4bInvestment Income
Schedule D, Part XII, Line 2dRental expenses of $311,889 are netted against rental income of $434,072 on Form 990, Part VIII. The Bad Debt of ($3,079,468) was reclassed from a reduction in revenue to an expense to remain consistent with Schedule H.
Schedule D, Part XII, Line 4bInvestment Income

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,192TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$106,192NetCommunityBenefitExpnsAmt
Total Expense0.0026TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,568,697TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,292,536DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,276,161NetCommunityBenefitExpnsAmt
Total Expense0.0316TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,674,889TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,292,536DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,382,353NetCommunityBenefitExpnsAmt
Total Expense0.0342TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,070TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$576DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,494NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$972TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$972NetCommunityBenefitExpnsAmt
Total Expense0.00TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$18,042TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$576DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,466NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,692,931TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,293,112DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,399,819NetCommunityBenefitExpnsAmt
Total Expense0.0346TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,156TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$31,156NetCommunityBenefitExpnsAmt
Total Expense0.0008TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$31,156TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,156NetCommunityBenefitExpnsAmt
Total Expense0.0008TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$779,681BadDebtExpenseAmt
Bad Debt Expense Attributable$130,207BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,782,924ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,060,940CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$278,016MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Grove City Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1631 N Broad Street ExtensionAddressLine1Txt
CityGrove CityCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16127ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.gcmcpa.orgWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSkilled Nursing UnitOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Grove City Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.gcmcpa.orgOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.gcmcpa.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.gcmcpa.orgFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Collection Activities0CollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Grove City Medical CenterWhen preparing the Community Health Needs Assessment, local individuals were contacted and individual meetings were conducted to gather information relating to the community. Representatives of the following agencies were contacted for discussions: Grove City YMCA, District Attorney for Mercer County, Emergency Management Coordinator for Mercer County, Midwestern Intermediate Unit IV, Pennsylvania Department of Health, George Junior Republic, Family Hospice and Palliative Care, Mercer County Area Agency on Aging, Mercer County Children's Aid Society, Trinity Living Center, Slippery Rock in Bloom Program Chair, Grove City Mayor, Community Health Partnership of Mercer County, Superintendent of Grove City Schools, Grove City College, Grove City Medical Center CEO, Grove City Medical Center CFO, and Grove City Medical Center Board Member.
Schedule H, Part V, Section B, Line 11-Grove City Medical CenterAt this time we have not addressed all of the identified needs. Using prioritization methodology, we chose Obesity, Diseases of the Heart, and Diabetes and Diabetic Screening. We did not address all of them due to limited resources, issues being addressed by other organizations, or historically completed programs to address the other issues in the past.
Schedule H, Part V, Section B, Line 20-Grove City Medical CenterThe average discount from billed charges of the negotiated commercial insurance rates is calculated to determine the charges for FAP patients.
Schedule H, Part V, Section B, Line 22d-Grove City Medical CenterThe average discount from billed charges of the negotiated commercial insurance rates is calculated to determine the charges for FAP patients.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7Completed this line using the Ratio of Patient Care Costs to Charges
Schedule H, Part I, Line 7, Column fThe applicable Bad Debt Expense that was eliminated is $3,079,469.
Schedule H, Part I, Line 7gBoth Clintonville Rural Health Clinic and the Obstetrics Department were closed effective 6/30/2014. All subsequent revenue and expenses are related to dates of service prior to this 990 period and are not included in the calculation of community benefits.
Schedule H, Part IIGrove City Medical Center provides training for the staff within the facility.
Schedule H, Part III, Section A, Line 4From the Audited Statements - "Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Health System analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts."
Schedule H, Part III, Section B, Line 8Serving patients with government health benefits, such as Medicare, is an important component of the community benefit standard that tax-exempt hospitals are held to. This implies that serving Medicare patients is a community benefit and that the hospital operates to promote the health of the community. The Medicare Cost Report is used to determine allowable Medicare Costs.
Schedule H, Part III, Section C, Line 9bAccounts which qualify for financial assistance are identified via note entry that follows the patient for subsequent accounts. Patients are instructed to contact the Business Office if they receive a statement after receiving notification of financial assistance eligibility.
Schedule H, Part VI, Line 2Grove City Medical Center began conducting its community health needs assessment in April, 2012 and completed it in January, 2013. The assessment included an analysis of outpatient discharge data by zip code to determine the Medical Center's community. The geographic area of the defined community based on this analysis covered most of Mercer County and parts of Butler and Lawrence counties. The Medical Center then gathered a significant amount of data related to the community, such as population and demographics, socioeconomic characteristics, leading causes of death and other health outcomes and factors. The assessment also described other health care resources in the community and an estimate for demand for physician services. To gain input from the community the Medical Center distributed a community health survey and conducted key informant interviews, which targeted individuals with expertise in public health and individuals with knowledge about primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups. After all of the data and input was gathered and analyzed the Medical Center prioritized the needs. The following list represents the top needs in order: obesity, diseases of the heart, cancer, mental health, children in poverty, substance abuse, and diabetes.
Schedule H, Part VI, Line 3Grove City Medical Center posts notices in the Registration areas that notify the patients of our Financial policies. The patients are encouraged to ask for the details of the programs we offer. Patients are also encouraged to contact the billing office to review payment plans or applications for federal programs or Grove City Medical Center's financial assistance program.
Schedule H, Part VI, Line 4In the Medical Center's community health needs assessment a considerable amount of information about the community was gathered. As mentioned above, the Medical Center defined its community as covering most of Mercer County and parts of Butler and Lawrence Counties. The total 2012 estimated population of the Medical Center's community by zip code identified was 57,341. The projected 2017 population is 58,374, with the largest increase appearing in the age 65 and over category. This will have a dramatic impact on both the amount and type of services required in the community. The Medical Center's community has a fairly small minority population with over 95% of the population being Caucasian. The average household income in the Medical Center's community was $53,673 in 2012 compared to a Pennsylvania average of $63,955 and a U.S. average of $67,315. Unemployment rates in all three counties of the Medical Center's community reached 5 year highs in 2010 and 2011. In 2011, Mercer and Lawrence Counties were above the PA average of 7.9, and 8.8 and 8.6 respectively, while Butler County was below the PA average at 6.7. Employment by major industry in the community is fairly consistent with national averages with slightly higher percentages in manufacturing, utilities, and education and health services. In 2011, the percent of uninsured individuals under age 65 in Mercer, Butler and Lawrence Counties were 10.7%, 7.7%, and 10.3% respectively. This compares to 10.1% in PA and 15.1% nationally. The leading causes of death in all counties are diseases of the heart and malignant neoplasms. Rates are significantly higher than U.S. averages in these areas as well as several others. Each of the three counties is higher than national benchmarks in several health behaviors, including adult smoking, adult obesity, excessive drinking, motor vehicle crash death rate, and sexually transmitted infections. The ratio of population to primary care physicians is much high in each of the three counties than national benchmarks.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT C JACKSON JR
CEO$211,125$0$0$0$0$0$0$0$4,734$0$215,859$0$0$0
ROBERT A JANCART
PATHOLOGIST$208,723$0$0$0$0$0$0$0$21,381$0$230,104$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aGrove City Medical Center pays the annual dues for the CEO's membership at the area country club which was not listed as taxable on the W-2. He has a social membership that is used only for business purposes.
Schedule J, Part I, Line 1bThe organization does not have a written policy regarding payment or reimbursement of the social club dues. However, substantiation is required prior to payment or reimbursement. The payment requests are reviewed and approved by a separate person.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6The parent company (Grove City Health System) is considered a member who has the power to control decisions regarding bylaw amendments, mergers or consolidations, dissolution, and distribution of assets.
Form 990, Part VI, Section A, Line 7aThe parent company (Grove City Health System) is considered a member who has the power to control decisions regarding bylaw amendments, mergers or consolidations, dissolution, and distribution of assets.
Form 990, Part VI, Section A, Line 7bThe parent company (Grove City Health System) is considered a member who has the power to control decisions regarding bylaw amendments, mergers or consolidations, dissolution, and distribution of assets.
Form 990, Part VI, Section B, Line 11bThe final Form 990 is reviewed by management. A copy of the return is provided to the three finance committee members (who are also voting board members) for review prior to filing. A copy is made available to the other board members upon request.
Form 990, Part VI, Section B, Line 12cGrove City Medical Center annually requires its board members, officers, and key employees to complete a conflict of interest form. During board meetings, if an interested party has a conflict, he or she abstains from voting.
Form 990, Part VI, Section B, Line 15Grove City Medical Center's Board of Directors annually reviews and approves the compensation of the CEO. Comparability Data is compiled by the Human Resources Department and given to the Board of Directors to review.
Form 990, Part VI, Section C, Line 19At this time, Grove City Medical Center does not make its governing documents, conflict of interest policy and financial statements available to the general public since it is not required to do so under current laws.
Form 990, Part IX, Line 11gThis includes Purchased Services, Physician Fees, MA Assessment Fees, Collection/Billing Fees, and Physician Guarantees.
Form 990, Part XI, Line 9Grove City Medical Center experienced a change in unrealized losses on other than trading securities in the amount of $1,944,210.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
WOLF CREEK MEDICAL ASSOCIATES
631 N BROAD ST EXTGROVE CITYPA16127320070802HEALTHCAREPA501(c)(3)9Grove City Health System0
GROVE CITY HEALTH SYSTEM FOUNDATION
631 N BROAD ST EXTGROVE CITYPA16127320070803FUNDRAISINGPA501(c)(3)7Grove City Health System0
GROVE CITY HEALTH SYSTEM
631 N BROAD ST EXTGROVE CITYPA16127320070801HEALTHCAREPA501(c)(3)11b II0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationWe filed and received the first time extension.ExplanationTxt